All Posts tagged Osteoporosis

Chiropractic & Chronic Pain

I practice more than just Chiropractic. I coined the term the POLITE Method

  • P is for Protect you from further pain and injury; create a Plan for healing; and Prevention from future episodes
  • OL is for Optimal Loading; this means adding gentle movements that don’t overload or hurt you.
  • I is for Ice or Instruments (laser, shockwave, deep muscle stimulation (DMS), etc.)
  • T is for Technology / Taping
  • E is for Education, Eating, Exercise and Ergonomics

The “P” reminds me to tell the patient the plan to get rid of pain and inflammation and discuss prevention strategies. This includes protecting the painful area, providing education and my prescription. I explain my plan, and offer ideas and suggestions on how they can protect the spine or involved area. I explain the services I can provide to help improve posture and achieve a positive outcome.

The “OL” stands for optimal loading. This means don’t overload the tissue structures, but at the same time, don’t underload them, either. Movement is important especially for sports medicine. I provide the patient with corrective exercises they can do to help heal properly.

The “I” reminds me to talk about the instruments or implements I can and will use as part of the treatment for inflammation; not just ice, but also physical therapy modalities such as acoustic shockwave, lasers, lymphatic drainage, deep muscle stimulation and other soft-tissue therapies. I also use nutrition and a body composition analysis machine, which help to guide my weight-loss programs.

The “T” reminds me to offer Taping (kinesiology and athletic taping). Taping is just part of the treatment right now.

The “E” stands for exercise, education, eating and ergonomics. Adding these components to care has a high patient value, is quality care and helps reduce the risk of future episodes.

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Osteoporosis & Vitamin C Update

Journal PLoS One provides evidence that vitamin C, when ingested orally, can prevent bone loss (osteoporosis) and stimulate the formation of new bone (in mice).

The medical world has known for some time that low amounts of vitamin C can cause scurvy and brittle bones, and that higher vitamin C intake is associated with higher bone mass in humans.

Large doses of vitamin C, when ingested orally by mice, actively stimulate bone formation to protect the skeleton. It does this by inducing osteoblasts, or premature bone cells, to differentiate into mature, mineralizing specialty cells.

This data provides compelling evidence for a therapeutic potential for vitamin C. Mice with ovariectomies were divided into two groups, one of which was given large doses of vitamin C over eight weeks. The team then measured the bone mineral density in the lumbar spine, femur and tibia bones. The lead researcher Zaidi revealed that mice who received an ovariectomy without vitamin C had a much lower bone mineral density than those that received a “sham” operation. Mice with no ovaries but given large doses of vitamin C had roughly the same bone mineral density as the controls, suggesting vitamin C prevented bone density losses in this group.

Could simple inexpensive dietary supplements versus expensive drugs help prevent osteoporosis? I think so! I also like to use Ostera from Metagenics.

PLoS One.

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Fosamax, Boniva, Actonel

Fosamax, Boniva, Actonel and other bisphosphonate osteoporosis drugs have been shown to increase bone fracture risk when used for several years. Irony aside, that’s bad enough. Research from the British Medical Journal reports that extended bisphosphonate use (about five years) nearly DOUBLED the risk of esophageal cancer. If bisphosphonate pills aren’t swallowed properly, the esophagus becomes inflamed, setting the stage for cancer.

I prefer using natural supplements and recommending movement therapy for osteoporosis.

Sources:
“Exposure to Oral Bisphosphonates and Risk of Esophageal Cancer” Journal of the American Medical Association, Vol. 304, No. 6, 8/11/10, jama.ama-assn.org

“Oral bisphosphonates and risk of cancer of oesophagus, stomach, and colorectum: case-control analysis within a UK primary care cohort” British Medical Journal, Vol. 341, No. 4444, 9/2/10, bmj.com

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Vitamin K update

A study from Greece: For one year, a cohort of postmenopausal women drank milk. Some of the group drank milk fortified with calcium and vitamin D. Others drank milk further fortified with vitamins K1 and K2. Bone Mineral Density (BMD) increased in both groups. But only subjects in the K group had “significant” BMD increases in the lower spine. Vitamin K boosts levels of a protein your body requires to utilize calcium in bones.

Why drink the milk? Take supplements of calcium and vitamins D and K, you’re likely to get similar results. But using the K1 and K2 forms of the vitamin is essential. K3 is synthetic. It won’t produce the same benefits. Almost all of our K intake is K1. The primary sources are leafy green vegetables, broccoli, tomatoes, avocados, olive oil, whole wheat, and butter.

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Omega-3 supplements boost bone mineral density in older women

A joint U.S.-Iranian study says that combining exercise with omega-3 supplements may boost the bone mineral density in older women and reduce markers of inflammation.

A daily supplement of 1,000 mg omega-3s in combination with aerobic exercise was associated with increases in bone mineral density (BMD) of up to 19% in post-menopausal women, according to findings published in Nutrition & Metabolism.

In addition, markers of inflammation such as interleukin 6 (IL-6) and tumor necrosis factor alpha (TNF-alpha) were significantly reduced following 24 weeks of supplementation plus exercise, report researchers from Urmia University in Iran and the University of Missouri in the U.S.

These findings are significant for women at risk of osteoporosis, characterized by low bone mass, which leads to an increased risk of fractures, especially of the hips, spine and wrists. Women are four times more likely to develop osteoporosis than men.

Clients (especially post menopausal women) need to commit to the use of long-term omega-3 supplementation and aerobic exercise. 

Seventy-nine healthy post-menopausal women were recruited and randomly assigned to one of four groups: The first group acted as the control and did not receive supplements or an exercise plan; the second group received the exercise plan only; the third group received omega-3 supplements only (1,000 mg omega-3 per day, of which 180 mg was EPA and 120 mg was DHA); and the final group received both supplements and exercise.

The exercise plan involved walking and jogging three times a week at up to 65% of the maximum heart rate.

Twenty-four weeks later, and the researchers found that the combined omega-3/exercise group displayed BMD increases of 15% in the lower back and 19% in the neck of the thigh bone (femur) at the hip.

In addition, the combination group had decreased levels of the pro-inflammatory compounds IL-6 and TNF-alpha by 40% and 80% respectively.

I recommend Metagenics EPA-DHA 720 as part of your daily supplements.

 

Nutrition & Metabolism; 8(1):71, 2011

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Vitamin D3 & Bone Health

The Interactive Healer
DrJeffreyTucker.com 

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July 30, 2010 

 

 
In This Issue
Dr. Tucker’s New E-Book Released!
Vitamin D
Improve Posture
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Dear Dr. Jeff,
Dr. Jeffrey Tucker

This week’s newsletter offers you tips for when to take vitamin D, as well as supplements for osteoporosis and important exercises for maintaining good posture. 
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If you have any questions, suggestions or comments, please feel free to email Dr. Tucker at:  DrJTucker@aol.com

 

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Order directly from Lulu.com and have this professionally-bound book delivered to your door for $37.75 or download the book electronically for only $18.75.
 

Osteoporosis & Ostera 

 

Ostera (a natural supplement from Metagenics) versus the new crop of osteoporosis drugs such as denosumab. Let’s see: 
Denosumab is given by injection
Denosumab may cost more than $10,000 per year
Denosumab works by affecting the immune system, so the long-term effects on immune function and cancer risk are unknown and will need to be tracked by the FDA.

Or would you rather try something less-expensive and drug- free?

 

Ostera! A supplement that promotes healthy bone remodeling in postmenopausal women. Researchers at Metaproteomics, a nutrigenomic research and development company employing more than 40 scientists and physicians at its research centers in the US and Europe, developed Ostera. Drawing on the anti-inflammatory properties of hops, as well as other unique nutritional agents like berberine and acacia, Ostera is a potent promoter of bone-remodeling.

 

Osteoporosis is actually an INFLAMMATORY DISEASE. Inflammation accelerates bone loss. But all of us tend toward inflammation as we age, and this body-wide process does not exempt the bones. The realization that inflammation is at the core of osteoporosis has prompted investigation into new drug therapies that specifically target bone inflammation. One such drug is denosumab, now in clinical trials. Denosumab is a breakthrough bio-engineered monoclonal antibody. This new Amgen drug has shown significant benefits in clinical trials, and promises to be a block-buster once it’s approved within a couple of years. But it’s certain to be VERY expensive, and it requires injections to work. I predict these new drugs will arrive at an opportune time: just when the medical establishment and the public will be in full retreat from the current crop of medications, as their limitations and side effects become increasingly evident. 

 

Ostera, in combination with a Mediterranean-style, low-glycemic-load diet and aerobic exercise, has been clinically shown in postmenopausal women to beneficially influence key biomarkers of bone remodeling more than diet and exercise alone.

 
When Ostera was field-tested on 77 postmenopausal women with low estrogen. It produced dramatic improvements (greater than 40%) in markers of bone turnover. Those patients adding Ostera to there arsenal of natural therapies for osteoporosis will further enhance there results, sometimes even after a few short months of treatment. 
Ostera is perfectly safe with other natural supplements and prescribed medications.
Dr. Tucker’s osteoporosis recommendation: 
Cal Apatite Forte Capsules  Daily supplements of vitamin D and calcium.
Ostera A safe natural alternative for bone support.
Sources:
“Studies: New Osteoporosis Drug Cuts Fracture Risk” Linda A. Johnson, Associated Press, 8/11/09, ap.org

 

More on Vitamin D…

 

Vitamin D intake is important for muscle function, bone health, fighting cancer, improving heart health, and preventing type 2 diabetes. That’s why I think more is better… 
The International Osteoporosis Foundation supports raising the recommended daily intake of vitamin D to:
1) Daily intake of 800 to 1,000 IU
2) Daily intake of 2,000 for those who have osteoporosis, get limited sun exposure, or are obese.

This higher dosage is absolutely a step in the right direction, but it’s just starting to approach the daily D intake I recommend – between 2,000 and 3,000 IU daily, and 5,000 IU daily for those over the age of 40. 

Wake Forest University researchers examined data from a study that measured blood levels of D in more than 2,780 elderly subjects. Three blood samples were taken from each subject over the course of four years. Results showed that higher blood levels of D were linked to better physical function, while about 90 percent of subjects with the lowest D levels had poorer physical function. 

TIP: You may be able to significantly boost your vitamin D levels by following one simple habit: Take D supplements with your largest meal of the day. Researchers at the Cleveland Clinic Foundation Bone Clinic recruited 17 subjects who had remained vitamin D deficient even after being treated for their deficiency.

For 2-3 months, each subject began taking their D supplements with the largest meal of the day. Dosage levels varied from 1,000 to 50,000 IU daily.

Results: Overall, absorption of the vitamin was improved and blood levels of D increased by more than 50 percent when D was taken at a meal. 

Take Home Point: Take vitamin D supplements at lunch or dinner time.

 

I recommend Iso D3. Either the 2000 IU or 5000 IU depending on age and exposure to sunshime. Iso D3 is the preferred form of vitamin D3 with Isoflavones.

 

 

These exercises prevent the natural progression of kyphosis (rounded back)

Rounded shoulders & slumped posture increases in healthy men & women with age, with the most rapid increase occurring between 50 and 60 years. The progression of rounded shoulders was prevented in those performed these extension exercises three times a week for one year. 
Like everything else I teach you, compliance is important.
Exercises which strengthen the extensor muscles of the spine can delay the progression of hyperkyphosis (rounded back).

 

Source: Ball et al. Department of Physical Therapy Education, School of Allied Health, University of Kansas Medical Center, Kansas, KS, USA.

 

 

 

 

Feel free to forward our newsletter to your friends, family and coworkers.  And please feel free to contact me with your questions, comments and suggestions. 
Please stay committed to your health, fitness and nutrition efforts.
 
Warm regards,
 
 

 

Dr. Jeffrey Tucker
 

 

Dr. Tucker is certified in using the Functional Movement Screen (FMS) & just returned from Danville, VA with the developers of the FMS. When you start a fitness plan, it’s vital to be prepared. Commitment isn’t measureable, but physical readiness is. The FMS evaluates whether your body is ready to take on a fitness plan, puts you on the road to genuine wellness, and tracks your progress along the way. Dr. Tucker will be happy to perform the FMS on you.
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Osteoporosis & Ostera

Osteoporosis is characterized by loss of bone mass and is associated with an increased risk of fracture after falls, particularly in the hip and mid-back. Osteoporotic women are often physically frail as well, leading to disability. Weight-bearing and resistive exercises have been shown to reduce the loss of bone (as measured by bone mineral density). Come in to the office and I can teach you the most specific exercises to perform that will help you prevent further osteoporosis.

A comprehensive supplement for osteoporosis is Ostera by Metagenics. Order @ www.DrJeffreyTucker.meta-ehealth.com

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Fosamax, Boniva, Actonel, and other osteoporosis drugs

The more we find out about this drug, the worse it gets.  If you are on these meds I hope you’ll do your research and consider natural alternatives like Ostera from Metagenics. Using a bisphosphonate drug–especially when taken for several years increases your risk of esophageal cancer. 

Have you ever wondered about those specific instructions that tell bisphosphonate users to drink a full glass of water and not lie down for 30 minutes after taking the drug?  If the drug isn’t swallowed properly, it can irritate the esophagus. If that happens too often, it can cause esophagitis–inflammation of the esophagus. 

A few years ago, Danish researchers reviewed more than 11,000 medical records and found that patients with esophagitis were significantly more likely to develop esophageal cancer.

Recognizing the importance of this potential link, a team of UK researchers examined medical records for more than 78,000 patients. As reported this past September in the British Medical Journal, the UK team found that extended bisphosphonate use (about five years) nearly DOUBLED the risk of esophageal cancer.

This is pretty horrifying when you consider that more than 20 million people have used Fosamax since it was introduced in the 90s. And that’s just one brand of this very popular class of drugs.

I recommend Ostera and Cal-Apatite. These can be ordered @ www.DrJeffreyTucker.meta-ehealth.com

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I’m still upset over this Osteoporosis issue

In the early 80s, few people had even heard of osteoporosis. And it wasn’t until the next decade – 1993 – when the World Health Organization (WHO) created clear definitions of it. This gave firm criteria for doctors to diagnose brittle bones as a disease.

WHO created this guideline: a woman has osteoporosis when her bone mineral density (BMD) is 2.5 deviations below the standard BMD of average healthy young women. The measurement is made by an x-ray exam. Seems pretty straightforward. Women with a T score of -1.0 and -2.5 have osteoporosis.

Except the WHO study was financed by three drug companies. These three companies were the Rorer Foundation, Sandoz, and SmithKline Beecham. The study they funded led to not only defining criteria for diagnosing osteoporosis… But also to establishing it firmly as a marketable disease.

The drug companies stood to benefit greatly if definitions of osteoporosis included large numbers of postmenopausal women. Especially if BMI testing was adopted into routine medical care.

There’s one important point to make here. Women’s bones do become more brittle with age. And hip and thigh fractures are a major cause for concern for women after they hit menopause.

The following year – in 1994 – the WHO study group recommended screenings and interventions. They determined that the “appropriate time” for these tests was menopause. To make sure no one missed it, their recommendation was published in Osteoporosis International. Suddenly, BMD became part of routine care for millions of postmenopausal women. The drug companies were assured that millions would be seeking billions of dollars’ worth of their drugs.

By 1995 Fosamax appeared on the market. The first of the brand new osteoporosis drugs. It was swiftly approved by the FDA. Osteoporosis screenings, treatment, and drugs became part of the American lifestyle. Almost overnight.

But there has never been any proof to show that any of these steps actually help women whatsoever.

What is safe and effective for bone nutrition and osteoporosis prevention? Weight bearing exercise and the supplement Cal Apatite with Magnesium by Metagenics. If you already have osteopenia (bone loss) or osteoporosis then you need  Ostera by Metagenics. Order from www.DrJeffreyTucker.meta-ehealth.com

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Osteoporosis drugs are getting to be a joke!

The FDA has warned osteoporosis patients that the very drugs they take to strengthen their bones… may be making them even weaker. For the past several years I’ve talked to my patients about reports that suggest these drugs may increase risk of thigh-bone fracture. Especially in women taking these drugs for five years or more.

Finally the FDA is telling major drug makers to put a warning on their labels. So here’s the “joke” – The FDA is issuing its warning… and stresses that patients shouldn’t quit their drugs! Not unless they start to feel new thigh pain. And not even then. Not until their doctor tells them to quit the drug. But the real issue isn’t that these drugs may be dangerous… It’s that they may not actually do any good at all.

The research that promoted these drugs in the first place was funded by the drug companies that stood to gain the most. The results that prompted the FDA to initially approve the drugs don’t stand up to much scrutiny.

OK, let me get this straight – take one of the drugs listed below thinking you are doing something for osteoporosis, yet these drugs may actually increase the risk of bone fractures. 

  • Actonel
  • Actonel with Calcium
  • Atelvia
  • Boniva
  • Fosamax
  • Fosamax Plus D
  • Reclast and Boniva

Here’s  the FDA statement:

“While it is not clear whether [these drugs] are the cause, a rare but serious type of thigh bone fracture, has been predominantly reported in patients taking [them].”

The FDA has told the manufacturers to put a warning label on their drugs. But it’s told the public to keep taking them… unless their doctor orders them not to.

What is safe for bone nutrition?  I recommend the supplement Cal Apatite with Magnesium by Metagenics. If you already have osteopenia (bone loss) or osteoporosis then you need  Ostera by Metagenics. Order from www.DrJeffreyTucker.meta-ehealth.com

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